Perry Lee Davis

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

960 Oakwood Rd
Orange City, FL 32763-5028

Phone

(386) 218-0402

Fax

(386) 222-3795

NPI assigned

Jul 31, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Tyme LLC

  • In Home Supportive Care Agency
  • Orange City, FL
  • NPI 1871132373
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1427602010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 OAKWOOD RD",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327635028",
            "telephone_number": "386-218-0402",
            "fax_number": "386-222-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 OAKWOOD RD",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327635028",
            "telephone_number": "386-218-0402",
            "fax_number": "386-222-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "PERRY",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "westvolusia@preferhome.com",
            "affiliation": "N",
            "address_1": "960 Oakwood Rd",
            "city": "Orange City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327635028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David V. Joseph
• Mark Davids, D.P.M.
• Lucas Davidson, PT, DPT
• Leslee Simonah Davis, M.D.
• Marie A. Davis, LMHC, NCC
• Katie T Day, DC
• Raymond M De Castro, MD
• Debary Speech Teach, LLC
• Sally Ong Dee, MD
• Sandra O Dee, MD

• Homemaker in Orange City, FL
• Providers in Orange City, FL by specialty
• Homemaker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.